All SlidesSexually Transmitted Disease Surveillance 2007.ppt

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1、All Slides Sexually Transmitted Disease Surveillance 2007,Division of STD Prevention,Chlamydia Sexually Transmitted Disease Surveillance 2007,Division of STD Prevention,Chlamydia Rates: Total and by sex: United States, 19882007,Note: As of January 2000, all 50 states and the District of Columbia had

2、 regulations requiring the reporting of chlamydia cases.,Chlamydia Rates by region: United States, 19982007,Chlamydia Rates by state: United States and outlying areas, 2007,Note: The total rate of chlamydia for the United States and outlying areas (Guam, Puerto Rico and Virgin Islands) was 368.1 per

3、 100,000 population.,Chlamydia Rates by county: United States, 2007,Chlamydia Age- and sex-specific rates: United States, 2007,Chlamydia Rates by race/ethnicity: United States, 19982007,Chlamydia Cases by reporting source and sex: United States, 19982007,Chlamydia Prevalence by age group and race/et

4、hnicity reported from a national survey, 19992002,Note: Error bars indicate 95% confidence intervals.,SOURCE: National Health and Nutrition Examination Survey Ann Intern Med. 2007 Jul 17;147(2):89-96.,Chlamydia Median state-specific positivity among 15- to 24-year-old women tested in family planning

5、 clinics: United States, 19972007,Note: As of 1997, all 10 Health and Human Services (HHS) regions, representing all 50 states, the District of Columbia, and outlying areas, reported chlamydia positivity data.,SOURCE: Chlamydia Prevalence Monitoring Project (Regional Infertility Prevention Projects)

6、; Office of Population Affairs; Local and State STD Control Programs; Centers for Disease Control and Prevention,Chlamydia Positivity among 15- to 24-year-old women tested in family planning clinics by state: United States and outlying areas, 2007,*Data not available in 2007. Note: Includes states a

7、nd outlying areas that reported chlamydia positivity data on at least 500 women aged 15-24 years screened during 2007.SOURCE: Chlamydia Prevalence Monitoring Project (Regional Infertility Prevention Projects); Office of Population Affairs; Local and State STD Control Programs; Centers for Disease Co

8、ntrol and Prevention,Chlamydia Trends in positivity among 15- to 24-year-old women tested in family planning clinics by HHS region, 20032007,SOURCE: Chlamydia Prevalence Monitoring Project (Regional Infertility Prevention Projects); Office of Population Affairs; Local and State STD Control Programs;

9、 Centers for Disease Control and Prevention,Chlamydia Percent of tests that were nucleic acid amplification tests (NAATs) in family planning clinics among 15- to 24-year-old women by HHS region, 20032007,SOURCE: Chlamydia Prevalence Monitoring Project (Regional Infertility Prevention Projects); Offi

10、ce of Population Affairs; Local and State STD Control Programs; Centers for Disease Control and Prevention,Gonorrhea Sexually Transmitted Disease Surveillance 2007,Division of STD Prevention,Gonorrhea Rates: United States, 19412007 and the Healthy People 2010 target,Note: The Healthy People 2010 tar

11、get for gonorrhea is 19.0 cases per 100,000 population.,Gonorrhea Rates: Total and by sex: United States, 19882007 and the Healthy People 2010 target,Note: The Healthy People 2010 target for gonorrhea is 19.0 cases per 100,000 population.,Gonorrhea Rates by region: United States, 19982007 and the He

12、althy People 2010 target,Note: The Healthy People 2010 target for gonorrhea is 19.0 cases per 100,000 population.,Gonorrhea Rates by state: United States and outlying areas, 2007,Note: The total rate of gonorrhea for the United States and outlying areas (Guam, Puerto Rico and Virgin Islands) was 117

13、.4 per 100,000 population. The Healthy People 2010 target is 19.0 cases per 100,000 population.,Gonorrhea Rates by county: United States, 2007,Note: The Healthy People 2010 target for gonorrhea is 19.0 cases per 100,000 population.,Gonorrhea Age- and sex-specific rates: United States, 2007,Gonorrhea

14、 Age-specific rates among women 15 to 44 years of age: United States, 19982007,Gonorrhea Age-specific rates among men 15 to 44 years of age: United States, 19982007,Gonorrhea Rates by race/ethnicity: United States, 19982007,Gonorrhea Cases by reporting source and sex: United States, 19982007,Gonorrh

15、ea Positivity among 15- to 24-year-old women tested in family planning clinics by state: United States and outlying areas, 2007,*States/areas not meeting minimum inclusion criteria. Note: Includes states and outlying areas that reported positivity data on at least 500 women aged 15-24 years screened

16、 during 2007.SOURCE: Gonorrhea Prevalence Monitoring Project (Regional Infertility Prevention Projects); Office of Population Affairs; Local and State STD Control Programs; Centers for Disease Control and Prevention,Gonococcal Isolate Surveillance Project (GISP) Prevalence of ciprofloxacin resistant

17、 Neisseria gonorrhoeae by GISP site, 2004-2007,Note: Not all clinics participated in GISP for the last 4 years. Sites include: ALB=Albuquerque, NM; ATL=Atlanta, GA; BAL=Baltimore, MD; BHM=Birmingham, AL; CHI=Chicago, IL; CIN=Cincinnati, OH; CLE=Cleveland, OH; DAL=Dallas, TX; DEN=Denver, CO; DTR=Detr

18、oit, MI; GRB=Greensboro, NC; HON=Honolulu, HI; KCY=Kansas City, MO; LAX=Los Angeles, CA; LBC=Long Beach, CA; LVG=Las Vegas, NV; MIA=Miami, FL; MIN=Minneapolis, MN; NOR=New Orleans, LA; NYC=New York City, NY; OKC=Oklahoma City, OK; ORA=Orange County, CA; PHI=Philadelphia, PA; PHX=Phoenix, AZ; POR=Por

19、tland, OR; SDG=San Diego, CA; SEA=Seattle, WA; SFO=San Francisco, CA; and TRP=Tripler Army Medical Center, HI,Gonococcal Isolate Surveillance Project (GISP) Penicillin, tetracycline, and ciprofloxacin resistance among GISP isolates, 2007,Note: PenR=penicillinase producing N. gonorrhoeae and chromoso

20、mally mediated penicillin-resistant N. gonorrhoeae; TetR=chromosomally and plasmid mediated tetracycline-resistant N. gonorrhoeae; QRNG=ciprofloxacin resistant N. gonorrhoeae.,Gonococcal Isolate Surveillance Project (GISP) Percent of Neisseria gonorrhoeae isolates with resistance or intermediate res

21、istance to ciprofloxacin, 19902007,Note: Resistant isolates have ciprofloxacin MICs 1 g/ml. Isolates with intermediate resistance have ciprofloxacin MICs of 0.125 - 0.5 g/ml. Susceptibility to ciprofloxacin was first measured in GISP in 1990.,Gonococcal Isolate Surveillance Project (GISP) Percent of

22、 Neisseria gonorrhoeae isolates with resistance to ciprofloxacin by sexual behavior, 20012007,Syphilis Sexually Transmitted Disease Surveillance 2007,Division of STD Prevention,Syphilis Reported cases by stage of infection: United States, 19412007,Primary and secondary syphilis Rates: Total and by s

23、ex: United States, 19882007 and the Healthy People 2010 target,Note: The Healthy People 2010 target for P&S syphilis is 0.2 case per 100,000 population.,Primary and secondary syphilis Rates by region: United States, 19982007 and the Healthy People 2010 target,Note: The Healthy People 2010 target for

24、 P&S syphilis is 0.2 case per 100,000 population.,Primary and secondary syphilis Rates by state: United States and outlying areas, 2007,Note: The total rate of P&S syphilis for the United States and outlying areas (Guam, Puerto Rico and Virgin Islands) was 3.8 per 100,000 population. The Healthy Peo

25、ple 2010 target is 0.2 case per 100,000 population.,Primary and secondary syphilis Rates by county: United States, 2007,Note: The Healthy People 2010 target for P&S syphilis is 0.2 case per 100,000 population. In 2007, 2,274 (72.4%) of 3,140 counties in the U.S. reported no cases of P&S syphilis.,Pr

26、imary and secondary syphilis Age- and sex-specific rates: United States, 2007,Primary and secondary syphilis Age-specific rates among women 15 to 44 years of age: United States, 19982007,Primary and secondary syphilis Age-specific rates among men 15 to 44 years of age: United States, 19982007,Primar

27、y and secondary syphilis Rates by race/ethnicity: United States, 19982007,Primary and secondary syphilis Reported cases* by stage and sexual orientation, 2007,*21.0% of reported male cases with P&S syphilis were missing sex of sex partner information.MSM denotes men who have sex with men.,Primary an

28、d secondary syphilis Reported cases* by sexual orientation and race/ethnicity, 2007,*21% of reported male cases with P 3% of reported male cases with sex of partner data were missing race/ethnicity data. No imputation was done for race/ethnicity. MSM denotes men who have sex with men.,Primary and se

29、condary syphilis Reported cases by reporting source and sex: United States, 19982007,Primary and secondary syphilis Percentage of reported cases* by sexual orientation and selected reporting sources, 2007,*21% of reported male cases with P 3.3% of reported male cases with sex of partner data were mi

30、ssing source of information data. MSM denotes men who have sex with men.,Congenital syphilis (CS) Reported cases for infants 1 year of age and rates of primary and secondary syphilis among women: United States, 19982007,Other Sexually Transmitted Diseases Sexually Transmitted Disease Surveillance 20

31、07,Division of STD Prevention,Chancroid Reported cases: United States, 19812007,Human papillomavirus (HPV) Prevalence of high-risk and low-risk types among females aged 14 to 59 years of age reported from a national survey, 2003-2004,Note: Error bars indicate 95% confidence intervals. Both high-risk

32、 and low-risk HPV types were detected in some females.,SOURCE: National Health and Nutrition Examination Survey JAMA, 2007, 297;813-819 Copyright 2007, American Medical Association. All Rights reserved.,Genital warts Initial visits to physicians offices: United States, 19662007,Note: The relative st

33、andard error for genital warts estimates range from 17% to 29.3%.,SOURCE: National Disease and Therapeutic Index (IMS Health),Genital herpes Initial visits to physicians offices: United States, 19662007,Note: The relative standard error for genital herpes estimates range from 17% to 29.3%.,SOURCE: N

34、ational Disease and Therapeutic Index (IMS Health),Genital herpes Herpes simplex virus, type 2, seroprevalence in non-Hispanic whites and non-Hispanic blacks by age group reported from national surveys, 1976-1980, 1988-1994, 19992004,Note: Error bars indicate 95% confidence intervals.,SOURCE: Nation

35、al Health and Nutrition Examination Survey JAMA, 2006, 296:964-973. Copyright 2006, American Medical Association. All Rights reserved.,Trichomoniasis and other vaginal infections in women Initial visits to physicians offices: United States, 19662007,Note: The relative standard error for trichomonias

36、is estimates range from 16% to 29.3% and for other vaginitis estimates range from 8% to 13%.,SOURCE: National Disease and Therapeutic Index (IMS Health),STDs in Women and Infants Sexually Transmitted Disease Surveillance 2007,Division of STD Prevention,Chlamydia Rates among women by state: United St

37、ates and outlying areas, 2007,Note: The total chlamydial infection rate among women in the United States and outlying areas (Guam, Puerto Rico, and Virgin Islands) was 540.9 per 100,000 female population.,Chlamydia Positivity in 15- to 24-year-old women tested in prenatal clinics by state: United St

38、ates and outlying areas, 2007,*States/areas not meeting minimum inclusion criteria in prenatal clinics. Note: Includes states and outlying areas that reported chlamydia positivity data on at least 100 women aged 15 to 24 years during 2007.SOURCE: Chlamydia Prevalence Monitoring Project (Regional Inf

39、ertility Prevention Projects); Office of Population Affairs; Local and State STD Control Programs; Centers for Disease Control and Prevention,Gonorrhea Rates among women by state: United States and outlying areas, 2007,Note: The total gonorrhea infection rate among women in the United States and out

40、lying areas (Guam, Puerto Rico, and Virgin Islands) was 121.9 per 100,000 female population.,Gonorrhea Positivity in 15- to 24-year-old women tested in prenatal clinics by state: United States and outlying areas, 2007,*States/areas not meeting minimum inclusion criteria in prenatal clinics. Note: In

41、cludes states and outlying areas that reported gonorrhea positivity data on at least 100 women aged 15 to 24 years during 2007.SOURCE: Gonorrhea Prevalence Monitoring Project (Regional Infertility Prevention Projects); Office of Population Affairs; Local and State STD Control Programs; Centers for D

42、isease Control and Prevention,Primary and secondary syphilis Rates among women by state: United States and outlying areas, 2007,Note: The total rate of P&S syphilis among women in the United States and outlying areas (Guam, Puerto Rico, and Virgin Islands) was 1.1 per 100,000 female population.,Cong

43、enital syphilis Rates for infants 1 year of age by state: United States and outlying areas, 2007,Note: The total rate of congenital syphilis for infants 1 year of age for the United States and outlying areas (Guam, Puerto Rico, and Virgin Islands) was 10.5 per 100,000 live births. The Healthy People

44、 2010 target is 1.0 case per 100,000 live births.,Ectopic pregnancy Hospitalizations of women 15 to 44 years of age: United States, 19972006,Note: The relative standard error for these estimates is 14.2%. Data only available through 2006.SOURCE: National Hospital Discharge Survey (National Center fo

45、r Health Statistics, CDC),Pelvic inflammatory disease Hospitalizations of women 15 to 44 years of age: United States, 19972006,Note: The relative standard error for these estimates of the total number of acute unspecified PID cases ranges from 11.9% to 17.2%. The relative standard error for these es

46、timates of the total number of chronic PID cases ranges from 11% to 18%. Data only available through 2006.SOURCE: National Hospital Discharge Survey (National Center for Health Statistics, CDC),Pelvic inflammatory disease Initial visits to physicians offices by women 15 to 44 years of age: United St

47、ates, 19982007,Note: The relative standard error for these estimates ranges from 21.6% to 29.3%.,SOURCE: National Disease and Therapeutic Index (IMS Health),STDs in Adolescents and Young Adults Sexually Transmitted Disease Surveillance 2007,Division of STD Prevention,Chlamydia Trends in positivity a

48、mong 15- to 19-year-old women tested in family planning clinics by HHS regions, 20032007,SOURCE: Regional Infertility Prevention Projects; Office of Population Affairs; Local and State STD Control Programs; Centers for Disease Control and Prevention,Chlamydia Prevalence among 16- to 24-year-old wome

49、n entering the National Job Training Program by state of residence: United States and outlying areas, 2007,*Fewer than 100 women residing in these states/areas and entering the National Job Training Program were screened for chlamydia in 2007. SOURCE: National Job Training Program; Department of Labor (in collaboration with the Center for Disease Detection, San Antonio, Texas),Chlamydia Prevalence among 16- to 24-year-old men entering the National Job Training Program by state of residence: United States and outlying areas, 2007,